Organization Active NPI

Bunin Family Health & Wellness, PC

  • Chiropractor
  • Boulder, CO
National Provider Identifier
1710187943
Registry record updated Jul 25, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
3976 Issued in CO
Legal business name
BUNIN FAMILY HEALTH & WELLNESS, PC
Practice address
2760 29TH St
Suite 2-D
Boulder, CO 80301-1214
Phone
(303) 494-4433
Fax
(303) 448-9705
NPI assigned
Jul 25, 2007
Last updated
Jul 25, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lynn K Bunin, D.C.NPI 1063450161
Title
Owner
Phone
(303) 494-4433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 3976 CO Primary

Addresses

Primary practice location

2760 29TH St
Suite 2-D
Boulder, CO 80301-1214

Mailing address

2760 29TH St
Suite 2-D
Boulder, CO 80301-1214
Phone (303) 494-4433

Other identifiers 1

IdentifierTypeStateIssuer
3976OtherCOSTATE OF COLORADO LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060213000629 CO Part B Supplier - Clinic/Group Practice 6002821022 Receives reassigned benefits from 1 practitioner
Practice locations: Boulder, CO

National Provider Directory

National Provider Directory

Locations

2760 29th St
Ste 2D
Boulder, CO 80301
Phone (303) 440-5351

3825 Iris Ave
Ste 250B
Boulder, CO 80301
Phone (303) 440-1033

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185321600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1185321600000",
    "number": "1710187943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2-D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-494-4433",
            "fax_number": "303-448-9705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2760 29TH ST",
            "address_2": "SUITE 2-D",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011214",
            "telephone_number": "303-494-4433",
            "fax_number": "303-448-9705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BUNIN FAMILY HEALTH & WELLNESS, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-25",
        "last_updated": "2007-07-25",
        "status": "A",
        "authorized_official_last_name": "BUNIN",
        "authorized_official_first_name": "LYNN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-494-4433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CO",
            "license": "3976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF COLORADO LICENSE",
            "identifier": "3976",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Boulder, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.